“Speak Truth To Power”: Engaging Leadership in Lean Transformation
Mar29

“Speak Truth To Power”: Engaging Leadership in Lean Transformation

Lean gets started in different ways, but for it to survive and thrive and move from being used as a set of tools to being the core of a culture and operating system that is the source of sustained excellence, eventually the CEO and senior management must lead. One Lean consultant, Jamie Flinchbaugh, has said, …recognize that few companies start a lean program with upper management support. Sometimes, but very rarely, lean...

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Relational Contracts and Lean
Mar22

Relational Contracts and Lean

I believe that without the total commitment of senior leadership, especially the CEO, Lean can’t succeed. Leadership can launch Lean or leadership can tolerate Lean and enjoy the benefits that it offers for a while, but if leadership wants Lean to be a sustainable source of competitive advantage then it must lead Lean. It must follow Gandhi’s advice and “become the change it wants to see”. The C-suite must seek its own transformation...

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A Lean Tour: Step 1, Management’s Willingness to Be Transformed
Mar15

A Lean Tour: Step 1, Management’s Willingness to Be Transformed

Lean is my favorite flavor of continuous improvement. I see Lean to be a term like “jazz” that defines an evolving philosophy that thrives on innovation. Lean is to continuous improvement as jazz is to music. Jazz is a continuously evolving art form that allows individual expression within the context of a structure. Lean encourages individual participation within an organizational atmosphere of respect and commitment to the...

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What do the primaries mean for health care’s future?
Mar10

What do the primaries mean for health care’s future?

From the get go the pundits have been puzzled by this year’s Presidential primaries season. The confusion goes back to last June when Donald Trump announced his candidacy for the office of President. At first, the predictions were that Trump’s candidacy was a self-limited process of narcissistic personal promotion. On the Democratic side, the word was that Hillary Clinton was a “shoo-in” this time around and would not be challenged by...

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Concierge Medicine: Still Not a Good Idea
Mar04

Concierge Medicine: Still Not a Good Idea

A few physicians in my community began to try concierge medicine in the mid nineties. My first reaction was, “Harley Street has come to Beacon Street”. If you watch Downton Abbey, Lady Mary Crawley probably took her maid, Anna Bates, to Harley Street when they went to London to get the help of a gynecologist because of Anna’s recurrent miscarriages. Harley Street is synonymous with expensive private care. The English who want to avoid...

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